Journal List > Korean J Community Nutr > v.22(5) > 1038600

TOOLS
Ryu, Kim, Kim, Kyung, and Park: Comparison Between Semi-Quantitative Frequency Methods and 7-day Dietary Records Methods in Food and Nutrition Intake Status For Hemodialysis Patients
Research Article

Korean Journal of Community Nutrition 2017; 22(5): 426-440.

Published online: 31 October 2017

DOI: https://doi.org/10.5720/kjcn.2017.22.5.426

Comparison Between Semi-Quantitative Frequency Methods and 7-day Dietary Records Methods in Food and Nutrition Intake Status For Hemodialysis Patients

Dong-Ryeol Ryu1, Jung-Hyun Kim2, Hyun-Jung Kim3, Min-Sook Kyung4, Jung-Tak Park5

1Department of Internal Medicine, School of Medicine, Ewha Womans University, Seoul, Korea.

2Department of Home Economics Education(Major of Food and Nutrition), PaiChai University, Daejeon, Korea.

3College of Nursing, Ewha Womans University, Seoul, Korea.

4Graduate School of Yonsei University, Major of Food and Nutrition, Seoul, Korea.

5Department of Internal Medicine, College of Medicine, Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.

Corresponding author: Jung-Hyun Kim. Department of Home Economics Education (Major of Food and Nutrition), PaiChai University, 155-40, Baejae-ro, Seo-gu, Daejeon, Republic of Korea. Tel: (042) 520-5424, Fax: (042) 520-5421, jhkim99@pcu.ac.kr

Received 29 September 2017       Revised 30 October 2017       Accepted 30 October 2017

Copyright © 2017 The Korean Society of Community Nutrition

The Korean Society of Community Nutrition

(open-access):

This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives

The valid assessment of food and nutrients intakes using appropriate dietary intake method is necessary to improve the nutritional status of the hemodialysis (HD) patients. This study was conducted to compare the method between newly developed, semi-quantitative food frequency questionnaire (Semi-FFQ) and 7-day dietary records (7-DRs) for hemodialysis patients.

Methods

We conducted both methods on 53 maintenance HD patients in two university hospitals. We calibrated the frequency, portion size and daily intake of 47 food items reported in Semi-FFQ. The food and nutrients intake was compared and the correlation of the two methods was analyzed. Also each nutrient intake was compared to recommended dietary allowance for Korean (KDRIs) and recommended nutrient reference value for HD patients.

Results

Energy and energy-yielding nutrients intakes were significantly higher in the two methods (p<0.01). These support the possible reliability between Semi-FFQ and 7-DRs that is similar with regard to most mineral and vitamin intakes. Thus, the Semi-FFQ used in this study for the assessment of nutrient intakes of HD patients can be reliable for the assessment of the nutrient intake along with the 7-DRs. The correlation coefficients were higher for foods consumed daily, such as steamed rice, meat and chicken, bean, egg, milk, coffee and alcohol than for those of foods eaten rarely (p<0.01).

Conclusions

The Semi-FFQ used in this study can be a reliable tool for the assessment of the HD patients' nutrient intake along with the 7-DRs, despite its limitations.

Keywords: semi-quantitative frequency method, 7-day dietary records method, hemodialysis patients

Figures and Tables

Table 1

General characteristics of the hemolysis patients

kjcn-22-426-i001

1) Mean±SD

2) HD: hemodialysis

3) N (%)

4) Post-dialytic weight

5) BMI: body mass index=weight (kg)/height (m2)

6) PIBW: percent ideal body weight=weight (kg)/standard weight (kg)*100

Table 2

Biochemical examination (Hematology, Blood chemistry, Lipid tests)

kjcn-22-426-i002

1) Nutrition therapy and pathophysiology, Cengage Learning, Nelms, 2012.

2) Unpaired Student's t-test was used to compare between male and female groups and significantly different between two groups at * p<0.05

Table 3

Nutrient intake status (%): calories, calories nutrients, dietary fiber, water intake correlation

kjcn-22-426-i003

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequency questionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

Table 4

Nutrient intake status (%): vitamins and minerals

kjcn-22-426-i004

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequencyquestionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

Table 5

Food intake frequency

kjcn-22-426-i005

1) Pearson's correlation coefficient test was used to assess the correlation coefficient between 24-hrs recall and food frequencyquestionnaire and significantly correlated at *: p<0.05, **: p<0.01, ***: p<0.001

2) Frequency of daily intake.

Table 6

Percentage of KDRIs1) of the subjects: energy, macronutrients, cholesterol and dietary fiber intakes in male and femalehemolysis patients

kjcn-22-426-i006

N. S.

1) Reference source: Dietary Reference Intakes For Koreans 2015.

2) Unit=%

3) *: p<0.05

Table 7

Percentage of KDRIs1) of the subjects: vitamin and minerals intakes in male and female hemolysis patients

kjcn-22-426-i007

N. S.

1) Reference source: Dietary Reference Intakes For Koreans 2015.

2) Unit=%

3) *: p<0.05, **: p<0.01

Table 8

Percentage of kidney patient nutrient intake standard contrast1) of the subjects

kjcn-22-426-i008

1) Reference source: Overview of the management of chronic kidney disease in adults, *Data from: 1. Ahmed K, Kopple J. Nutritional management of renal disease. In: Primer on Kidney Diseases, Greenberg A (Ed). Academic Press, San Diego, CA, 1994, p.289. 2. Ikizler IA. Nutrition and kidney disease. In: Primer on Kidney Diseases, Greenberg A (Ed). Elsevier, Philadelphia, 2005, p.496.

2) Unit=%

3) *: p<0.05, **: p<0.01

Acknowledgments

This research was supported by a grant from the National Research Foundation of Korea (HC15C1129).

References

1. The Korean Society of Nephrology. Korean ESRD registry 2017 [Internet]. The Korean Society of Nephrology;2017. cited 2017 May 23. Available from: www.ksn.or.kr/.
2. Kim SH, Kim SB. Characteristics in nutritional status of patients on hemodialysis and continuous ambulatory peritoneal patients in Chonbuk area. Korean J Nutr. 2003; 36(4):397–404.
3. Lee J, Kim JM, Kim YR. Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis. Korean J Nutr. 2013; 46(2):137–146.
4. Chang YK, Jin YG, Park HC. Dietary evaluation and protein catabolic rate in maintenance hemodialysis patients. Korean J Nutr. 1992; 25(3):256–263.
5. Lee YJ, Lee YJ, Oh IH, Lee CH, Lee SS. Comparative study of serum levels of albumin and hs-CRP in hemodialysis patients according to protein intake levels. J Nutr Health. 2013; 46(6):521–530.
6. Ahmed K, Kopple J. Nutritional management of renal disease. San Diego, CA: Academic Press;1994. p. 289.
7. Ikizler IA. Nutrition and kidney disease. Philadelphia: Elsevier;2005. p. 496.
8. Seo HJ. A study on effect of nutrition education in hemodialysis patients [master's thesis]. Changwon's University;2002.
9. Kim SM, Lee YS, Cho DK. Nutritional assessment of the hemodialysis patients. Korean J Nutr. 2000; 33(2):179–185.
10. Woo HJ, Lee YJ, Oh IH, Lee CH, Lee SS. Association of food intake with serum levels of phosphorus and potassium in hemodialysis patients. J Nutr Health. 2014; 47(1):33–44.
11. Murphy SP, Poos MI. Dietary reference intakes: Summary of applications in dietary assessment. Public Health Nutr. 2002; 5(6A):843–849.
12. Pietinen P, Hartman AM, Haapa E, Räsänen L, Haapakoski J, Palmgren JK, et al. Reproducibility and validity of dietary assessment instruments. Am J Epidemiol. 1988; 128(3):667–676.
13. Souverein OW, Dekkers AL, Geelen A, Haubrock J, de Vries JH, Ocke MC, et al. Comparing four methods to estimate usual intake distributions. Eur J Clin Nutr. 2011; 65:S1. S92–S101.
14. Ahn Y, Kwon E, Shim JE, Park MK, Joo Y, Kimm K, et al. Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr. 2007; 61(12):1435–1441.
15. Cho YE, Lee SL, Cho EH, Lomeda RAL, Kwak EH, Kim YH, et al. Comparison of nutrient intakes of Korean elderly people living in rural area between 24-hour recall and food frequency method. J Korean Soc Food Sci Nutr. 2006; 35(6):698–707.
16. Lee SY, Ju DL, Paik HY, Shin CS, Lee HK. Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeonchon area (1): Assessment based on nutrient intake. Korean J Nutr. 1998; 31(3):333–342.
17. Lee JY, Kim DW. Validation of food intake frequency from food frequency questionnaire for use as a covariate in a model to estimate usual food intake. Culin Sci Hosp Res. 2017; 23(2):64–73.
18. The Korean Nutrition Society. CAN-Pro4.0 [Internet]. The Korean Nutrition Society;2011. cited 2011 Nov 24. Available from: http://www.kns.or.kr/.
19. Rural Development Administration. Korean Food Composition Table (9th revision) [Internet]. Rural Development Administration;2017. cited 2017 Jun 30. Available from: http://www.rda.go.kr/.
20. Lee JW, Lee MS, Kim IH, Son SM, Lee BS. Nutrition Assessment. Gyomunsa;2009. p. 100–201.
21. The Korean Dietetic Association. Manual of medical nutrition therapy [Internet]. Korean Dietetic Association;2008. cited 2008 Sep 01. Available from: www.dietitian.or.kr/.
22. Lee JH, Lee YI, Choi JH, Lee HJ, Shin DH, Lee EJ. Association between waist-to-height ratio and metabolic risk factors in Korean adults with overweight body mass index: Korean National Health and Nutrition Examination Survey, 2010-2012. Korean J Fam Pract. 2017; 7(1):125–130.
23. Yun SH, Shim JS, Kweon S, Oh K. Development of a food frequency questionnaire for the Korea National Health and Nutrition Examination Survey: data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV). Korean J Nutr. 2013; 46(2):186–196.
24. The Korean Nutrition Society. 2015 Korean Dietary Reference for Koreans (KDRIs). Seoul: The Korean Nutrition Society;2015.
25. Park JK, Son SM. Nutritional status of continuous ambulatory peritoneal dialysis patients. Korean J Nutr. 2006; 39(7):624–640.
26. Kim YH, Seo HJ, Kim SR. A study of the nutritional status, nutritional knowledge, and dietary habits of the hemodialysis patients. Korean J Nutr. 2001; 34(8):920–928.
27. Kim JY, Oh SY, Lee HB. Evaluation of dietary behavioral factors related to nutritional status of hemodialysis patients. Korean J Community Nutr. 2001; 6(5):972–973.
28. Bae NY. Relationship between self-efficacy, salty taste sensitivity, salty taste and low salt diet in patients with chronic kidney disease [master's thesis]. Ewha Woman's University;2017.
29. Lee HS, Lee SY. Nutrient intake status and relevant factors of hemodialysis patients hospitalized in general hospital located in Daejeon. Korean J Hum Ecol. 2016; 25(1):55–71.
30. Kim MJ, Park CN, Kang YE, Lee SS. The effects of nutrition education and regular exercise on nutritional status, quality of life and fatigue in hemodialysis patients. J Korean Diet Assoc. 2013; 19(4):373–388.
31. Park OL, Jang YJ, Jung JH, Kim SR. Factors affecting malnutrition in hemodialysis patients. Korean J Adult Nurs. 2016; 28(2):226–236.
32. Park KA, Sim YM, Kim SB, Choi SM. A study of the nutritional status and its related factors in the elderly hemodialysis patients. Korean J Nutr. 2006; 39(2):133–144.
33. Kim HW, Choi SM. Structural equation modeling on quality of life in pre-dialysis patients with chronic kidney disease. J Korean Acad Nurs. 2012; 42(5):699–708.
34. Jung YJ, Park YS, Kim HS, Jang YK, Kim C. Evaluation of nutrient intakes in the hemodialysis patients according to the socioeconomic status: in Daejeon and Chungnam areas. Korean J Nutr. 2002; 35(5):544–557.
35. Kim BM. Seasonal variations of nutritional intake in patients on hemodialysis [master's thesis]. Hanyang's Univercity;2015.
36. Date C, Fukui M, Yamamoto A, Wakai K, Ozeki A, Motohashi Y, et al. Reproducibility and validity of a self-administered food frequency questionnaire used in the JACC study. J Epidemiol. 2005; 15:S1. S9–S23.
37. Tokudome S, Imaeda N, Tokudome Y, Fujiwara N, Nagaya T, Sato J, et al. Relative validity of a semi-quantitative food frequency questionnaire versus 28 day weighed diet records in Japanese female dietitians. Eur J Clin Nutr. 2001; 55(9):735–742.
38. Deschamps V, de Lauzon-Guillain B, Lafay L, Borys JM, Charles MA, Romon M. Reproducibility and relative validity of a food-frequency questionnaire among French adults and adolescents. Eur J Clin Nutr. 2009; 63(2):282–291.
39. Suk YM, Park JW, Jeon MJ, Kim CY. Effect of periodic video education on knowledge about hemodialysis, patient role behavior and the physiologic index in patients with hemodialysis. J Korean Biol Nurs Sci. 2013; 15(3):122–132.
40. Lee YM, Lee YK. Effectiveness of nutrition education and counseling on the salty taste assessment, nutrition knowledge and dietary attitude of hemodialysis patients. Korean J Community Nutr. 2013; 18(4):402–412.
TOOLS
ORCID iDs

Jung-Hyun Kim
https://orcid.org/0000-0003-2117-5670

Similar articles